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    ENDOCRINEREGULATION

    Theendocrinesystemregulates:

    - growth/development

    - responsetostress- reproduction- fluidbalance- otherphysiologicalprocesses

    ThetissuesandorgansoftheendocrynesystemsecreteHORMONES,Chemicalsmessengersthatsignalothercells.

    Thehypothalamusandthepituitaryglandregulatemanyofthesehormones

    TheendocrinesystemisaCollectionofcells,tissuesandorgans+spcializedendocrineglands,thatproduceandsecretehormones,

    ChemicalsMessengersthatregulatemanyphysiologicalprocesses.

    Hormone(toexcite)exciteorstimulatechangesinspecifictissues.

    Differencesglands

    - ExocrineglandsReleasetheirsecretionsintoducts

    e.g.sweatglands/gastricglands

    - Endocrineglands

    Havenoductsandsecretetheirhormonesintothesurroundingintersitialfluidorblood

    Theyare10endocrineglands+specializedcellsinthedigestivetract,heart,kidneyandmanyotherpartsofthebody.

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    Hormones

    Transportedbythebloodandproduceacharacteristicresponsealtertheyreachtargetcellsandbindwithspecificreceptors.

    Targetcells:cellsinfluencedbyaparticularhormone

    Maybeinanotherendocrineglandordifferentorgan

    Maybefarawayfromtheendocrinegland.

    Endocrinesystemandnervoussystem

    BothofthemworkcloselytomaintainHOMEOSTASIS(steadystateofthebody)

    ENDOCRYNESYSTEM NERVOUSSYSTEM

    Signalsmuchtargetcells Signalsmuscles/glands(endocrine

    glands)

    Respondsmoreslowly

    (butLangerlasting)

    Respondsrapidly

    Helpsregulatemanyendocrineresponses

    Producessomehormones

    (neurotransmitters)

    SometimesbothfunctionsBlur:thesamesignalmoleculecanfuncitionas

    eitherneurotransmitterorahormone

    e.g.Norepinephrine

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    Homeostasis

    Whenadisorderordiseaseaffectsanendocrinegland,therateofsecretionmaybeabnormal.

    Hyposecretion:abnormalreduceoutputandtargetcellsaredeprivedofneededstimulation. Hypersecretion:abnormallyincreasedoutputandthetargetcellsmaybeoverstimulated.Allthisleadsinmalfunctionandlossofhomeostasis.

    Negativefeedbacksystems

    Regulateendocrineactivity.

    Hormonemoleculescontinuouslymoveoutofthecirculationandbindwithtargetcells.

    - Liver:removesthem(inactivates)- Kidneys:excretethem

    HormoneproductionisregulatedbytheNSandEndocrineglands.

    MostendocrineactionisregulatedbyNEGATIVEFEEDBACKSYSTEMS:

    self-regulatingresponsestochangesexperiencedbyasystemororganism,usuallyduetoexternalinfluences.Resultinrestoringthesystem

    toitspreviousundisturbedstate,ormitigatingtheeffectsoftheinitialchange.Itisthischaracteristicof"negating"theimpactofchanges

    whichdefinessuchoperationsas"negativefeedbackmechanisms".

    e.g.parathynoidglands:regulatethecalciumconcentrationoftheblood

    Whencalciumconcentrationiseithertoohighortoolow,negativesystemrestoreshomeostasis

    -calcium:parathyroidglandreleasesmoreparathyroidhormones(increases)

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    +calcium:parathynoidglandsslowtheiroutputofhormone.

    BothresponsesarenegativefeedbackSystems.

    Groupsofhormones

    Hormonesbelongtooneofthesegroups:

    1. fattyacidderivatives

    Prostaglandins:ininsects

    2. steroids

    - adrenalcortex- testis- ovary- placentasecretesteroidhormonessynthesizedbycholesterol.

    Examplesofsteroidhormones:

    cortisol(secretedadrenalcortex)

    testosterone(secretedbythetestis)

    progesterone/estrgeno(secretedbytheovary)

    3. aminoacidderivatives

    simplesthormones

    thyroidhormonesT1/T4(synthesizedfromtheaminoacidthetyrosineandIodine)

    Epinephrine(adrenaline)/norepinephrine(alsoderivedfromtyrosine)

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    Melatonin(synthesizedaminoacidtryptophan)

    4. peptidesorproteins

    largesthormones/peptidehormones/watersoluble

    Neuropeptides:largeGroupofsignalingmoleculesproducedbyneurons

    oxitocina/antidiuretichormone(ADH)areshortneuropeptides

    Glucagon/secretin/calcitoninalongpeptides(30aminoacids)

    Insulinsmallprotena(2peptidechainsbydissulfideBonds)

    Endocrinesignaling

    Hormonessignaltheirtargetcellsby:

    Classicalendocrinesignaling

    Hormonesaresecretedbyendocrineglandsandaretransportedbythebloodtotargetcells.

    - Steroidhormones- Thyroidhormonesare;bothtransportedboundtoplasmaproteins

    -Peptidehormones(watersoluble)aredisolvedintheplasma..

    Neuroendocrinesignaling

    Nueroendocrinecells:linkbwNS-ES

    Neuroendocrinecellssecreteneurohormones:thesehormonesaretransporteddownaxonsandthensecretedandtransportedbytheblood.

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    Autocrinesignaling

    Ahormone(orothersignalmolecule)issecretedintotheintersitialfluidandthenactsontheverycellthatproduceit.

    e.Estrogen:functionsasaclasssicalhormone,canalsoexertanautocrineeffectthatstimulatesadditionalestrgenosecretion.

    Paracrinesignaling

    Ahormone(orothersignalmolecule)difusesthroughintersitialfluidandactsonnearbytargetcells.

    Estrgenocanalsoactthisway.

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    GLAND HORMONE TARGETTISSUE ACTIONS

    HYPOTHALAMUS

    Releasingandinhibitinghormones

    Anteriorpituitary

    Regulatesecretionofhormonesby

    theanteriorpituitary

    POSTERIORPITUITARY

    Storageandreleaseof

    hormonesproducedbyhypothalamus

    Oxytocin

    Antidiuretichormone

    (ADHorvasopressin)

    Uterus

    Mammarygland

    Kidneys(collectingducts)

    Stimulatecontraction

    Stimulateejectionofmilkintoducts

    Stimulatereabsorptionofwater

    ANTERIORPITUITARY

    GroWthhormone(GH)

    Orsomatotropin

    (anabolichormone)

    Prolactin

    Melanocyte-stimulatinghormone(MSH)

    General

    Mammaryglands

    Pigmentocells(skin)

    Stimulatesgrowthofskeleton/muscles

    Stimulatesmilkproduction

    Stimulatesmelaninproduction

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    ANTERIORPITUITARY

    Thyroidstimulatinghormone(TSH)

    Adrenocorticotropichormone(ACTH)

    Gonadotropichormones

    FSH/LH

    Thyroidgland

    Adrenalcortex

    Gonads

    Stimulatessecretionofthyroid

    hormones,helpsregulatingbone

    remodeling

    Stimulatessecretionofadrenal

    corticalhormones

    Stimulategonadfunctionandgrowth

    THYROIDGLAND

    .

    Thyroxine(T4)

    Triiodothyrionine(T3)

    Calcitonin

    General

    Bone

    Stimulatemetabolicrate

    RegulateEmetabolismo

    LowersbloodCa+level

    (decreases)

    PARATHYROIDGLAND

    Parathyroidhormone

    (PTH)

    Bone

    Kidney

    Digestivetract

    RegulatesbloodCa+level

    (antagonistaofCalcitonin)

    StimulatesCareleasefromthebones

    ----------------------------------

    Note:duringpregnancy/growth

    periodchildhoodCaveryimportant

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    PARATHYROIDGLAND

    Parathyroidhormone(PTH)

    Bone

    KidneyDigestivetract

    RegulatesbloodCa+level

    (antagonistaofCalcitonin)

    StimulatesCareleasefromthebones

    ----------------------------------

    Note:duringpregnancy/growth

    periodchildhoodCaveryimportant

    Roleofvitamina3D.

    PANCREAS

    Insulin

    Glucagon

    General

    Liver,adiposetissue

    Lowersbloodglucoseconcentration

    Raisesbloodglucoseconcentration

    ADRENALMEDULLA

    Epinephrine

    Nonepirephrine

    Muscle

    Bloodvessels

    Liver

    Adiposetissue

    Helpbodytocopewithstress

    Increasemetabolicrate

    RaisebloodglucoselevelIncreaseheartrate/bloodpressure

    ADRENALCORTEX

    Mineralcorticoids

    Kidneytubules

    MaintainNa/Kbalance

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    PositionoftheEndocrineglands

    Thehypothalamusandpituitarycontrolalargepartoftheendocrinesystem.

    Thethyroidisintheneckjustbelowthelarynx.Theparathyroidglandsareonthebackofthethyroid.

    Thethymusisanteriorandsuperiortotheheart.

    Theadrenalglandsaresuperiortothekidneys.Thepancreasisinferior/posteriortothestomach.

    Theovariesareintheabdominopelviccavity.

    Thetestiesareinthescrotum,descendedfromthepelviccavity.

    TESTIS

    Testosterone

    General

    Reproductivestructures

    Developessexcharact

    Promotesspermatogenesis

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    The major human endocrine glands include:

    1. thehypothalamusandpituitaryglandThepituitaryglandiscalledthemaster

    glandbutitisunderthecontrolofthe

    hypothalamus.Together,theycontrol

    manyotherendocrinefunctions.They

    secreteanumberofhormones,

    especiallyseveralwhichareimportant

    tothefemalemensturalcycle,

    pregnancy,birth,andlactation(milkproduction).Theseincludefollicle-

    stimulatinghormone(FSH),which

    stimulatesdevelopmentandmaturation

    ofafollicleinoneofawomansovaries,andleutinizinghormone(LH),which

    causestheburstingofthatfollicle(=

    ovulation)andtheformationof

    acorpusluteumfromtheremainsof

    thefollicle.

    Thereareanumberofother

    hypothalamusandpituitaryhormones

    whichaffectvarioustargetorgans.

    Onenon-sexhormonesecretedbytheposteriorpituitaryisantidiuretichormoneorADH.Thishormonehelpspreventexcesswaterexcretionbythekidneys.EthanolinhibitsthereleaseofADHandcan,thus,causeexcessive

    waterloss.Thatsalsopartofthereasonwhyagroupofcollegestudentswhogooutforpizzaandapitcherofbeer

    needtomakefrequenttripstotherestrooms.Diureticsarechemicalswhichinterferewiththeproductionofor

    actionofADHsothekidneyssecretemorewater.Thusdiureticsareoftenprescribedforpeoplewithhighblood

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    pressure,inanattempttodecreasebloodvolume.

    Anothergroupofnon-sexhormonesthatmanypeoplehaveheardofistheendorphins,whichbelongtothecategory

    ofchemicalsknownasopiatesandservetodeadenourpainreceptors.Endorphins,whicharechemicallyrelatedto

    morphine,areproducedinresponsetopain.Thenaturalresponsetorubaninjuredarea,suchasapinchedfinger,

    helpstoreleaseendorphinsinthatarea.Peoplewhoexercisealotandpushtheirbodiesuntilithurtsthereby

    stimulatetheproductionofendorphins.Itisthoughtthatsomepeoplewhoconstantlyover-exerciseandpush

    themselvestoomuchmayactuallybeaddictedtotheirownendorphinswhichthatsevereexerciseregimereleases.

    2. thethyroidgland

    Thyroidhormonesregulatemetabolism,thereforebodytemperatureandweight.Thethyroidhormonescontain

    iodine,whichthethyroidneedsinordertomanufacturethesehormones.Ifapersonlacksiodineinhis/herdiet,the

    thyroidcannotmakethehormones,causingadeficiency.Inresponsetothebodysfeedbackloopscallingformore

    thyroidhormones,thethyroidglandthenenlargestoattempttocompensate(Thebodysplanhereisifitsbiggerit

    canmakemore,butthatdoesnthelpifthereisntenoughiodine.).Thisdisorderiscalledgoiter.Dietarysourcesof

    iodineincludeanyoceanfoodsbecauseocean-dwellingorganismstendtoaccumulateiodinefromtheseawater,

    andwouldincludefoodslikeoceanfish(tuna)andseaweedslikekelp.Becauseofthis,peoplewholiveneartheoceandonothaveasmuchofaproblemwithgoiteraspeoplewholiveinlandanddonthaveaccesstothesefoods.Tohelp

    alleviatethisprobleminourcountry,ourgovernmentbeganaprogramencouragingsaltrefinerstoaddiodinetosalt,

    andencouragingpeopletochoosetoconsumethis iodizedsalt.

    3. thepancreas

    Thisorganhastwofunctions.Itservesasaductedgland,secretingdigestiveenzymesintothesmallintestine.The

    pancreasalsoservesasaductlessglandinthattheisletsofLangerhanssecreteinsulinandglucagontoregulate

    thebloodsugarlevel.The -isletcellssecreteglucagon,whichtellsthelivertotakecarbohydrateoutofstorageto

    raisealowbloodsugarlevel.The -isletcellssecreteinsulintotellthelivertotakeexcessglucoseoutofcirculation

    tolowerabloodsugarlevelthatstoohigh.Ifapersonsbodydoesnotmakeenoughinsulin(and/orthereisareducedresponseofthetargetcellsintheliver),thebloodsugarrises,perhapsoutofcontrol,andwesaythatthe

    personhasdiabetesmellitus.

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    4. theadrenalglands

    Thesesitontopofthekidneys.Theyconsistoftwoparts,theoutercortexandthe

    innermedulla.Themedullasecretesepinephrine(=adrenaline)andother

    similarhormonesinresponsetostressorssuchasfright,anger,caffeine,orlow

    bloodsugar.Thecortexsecretescorticosteroidssuchascortisone.

    Corticosteroidsarewell-knownasbeinganti-inflammatory,thusareprescribed

    foranumberofconditions.However,thesearepowerfulregulatorsthatshouldbe

    usedwithcaution.Medicinaldosesaretypicallyhigherthanwhatyourbody

    wouldproducenaturally,thusthepersonsnormalfeedbackloopssuppress

    naturalsecretion,anditisnecessarytograduallytaperoffthedosagetotrigger

    theadrenalglandstobeginproducingontheirownagain.Becausethe

    corticosteroidssuppresstheimmunesystem,theirusecanleadtoincreased

    susceptibilitytoinfections,yetphysicianstypicallyprescribethemforpeoplewhoseimmunesystemsarehardatworktryingtofightoffsomepathogen.For

    example,backwhenIwasingradschool,Iwasdiagnosedwithmono,andthecampusdoctorprescribedpenicillinandcortisone.Sincemonoisavirusandpenicillinonlyiseffectiveagainstsome

    bacteria,aboutallitdidwaskilloffthefriendlybacteriainmybody,thereforecausingmetodevelopabadcaseof

    thrush.Atthesametime,thecortisonewassupressingmyimmunesystemsomybodycouldnotasefficientlyfight

    offthemonoandthethrush.Peoplewithhighbloodpressureshouldbeleeryoftakingprescriptioncorticosteroids:

    theyareknowntoraisebloodpressure,thuscancausethingslikestrokes.Mymother-in-lawhadhighbloodpressure

    andwasbeingtreatedwithdiuretics.Herphysicianalsohadheronlargedosesofcortisoneforherarthritis.Whilehe

    wasonvacation,shestartedhavingsignificantbackpainandwasreferredtoanorthopedicsurgeon.Thisman

    decidedthebackpainwasjustduetoarthritis,andwithoutcarefullycheckingonwhatdosageshewasalready

    taking,prescribedmorecortisone.Simultaneously,becauseofdifficultywalkingduetoherarthritis,shedecidedtodecreasetheamountofdiureticsshewastakingsoshedidnthavetomakeasmanylongtripstotheotherendof

    thehouse.Thecombinationoflowereddoseofdiureticsandhighdoseofcortisoneraisedherbloodpressuretothe

    pointwhereabloodvesselinherbrainburst,causingastroke.WhentheEMTstookherbloodpressure,asIrecallthe

    systolicwaswayover200mmHg.

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    5. thegonadsorsexorgans

    Inadditiontoproducinggametes,thefemaleovariesandmaletestes(singular=testis)alsosecretehormones.

    Therefore,thesehormonesarecalledsexhormones.Thesecretionofsexhormonesbythegonadsiscontrolledby

    pituitaryglandhormonessuchasFSHandLH.Whilebothsexesmakesomeofeachofthehormones,typicallymale

    testessecreteprimarilyandrogensincludingtestosterone.Femaleovariesmakeestrogenandprogesteronein

    varyingamountsdependingonwhereinhercycleawomanis.Inapregnantwoman,thebabysplacentaalsosecretes

    hormonestomaintainthepregnancy.

    6. thepinealglandThisglandislocatednearthecenterofthebraininhumans,andisstimulatedbynervesfromtheeyes.Insomeother

    animals,thepinealglandisclosertotheskinanddirectlystimulatedbylight(somelizardsevenhaveathirdeye).

    Thepinealglandsecretedmelatoninatnightwhenitsdark,thussecretesmoreinwinterwhenthenightsarelonger.

    Melatoninpromotessleep(makesyoufeelsleepy).Italsoaffectsreproductivefunctionsbydepressingtheactivityof

    thegonads.Additionally,itaffectsthyroidandadrenalcortexfunctions.Insomeanimals,melatoninaffectsskin

    pigmentation.Becausemelatoninproductionisaffectedbytheamountoflighttowhichapersonisexposed,thisis

    tiedtocircadianrhythm(havinganactivitycycleofabout24hours),annualcycles,andbiologicalclockfunctions.SADorseasonalaffectivedisorder(syndrome)isadisorderinwhichtoomuchmelatoninisproduced,

    especiallyduringthelongnightsofwinter,causingprofounddepression,oversleeping,weightgain,tiredness,and

    sadness.Treatmentconsistsofexposuretobrightlightsforseveralhourseachdaytoinhibitmelatoninproduction.It

    hasalsobeenfoundthatmelatoninlevelsdrop75%suddenlyjustbeforepuberty,suggestingtheinvolvementof

    melatoninintheregulationoftheonsetofpuberty.Studieshavebeendoneonblindgirls(withaformofblindnessin

    whichnoimpulsescantraveldowntheopticnerveandreachthebrainandpinealgland),whichshowedthatthesegirlstendedtohavehigherlevelsofmelatoninforalongertime,resultinginadelayintheonsetofpuberty.While

    someolderpeople,whodontmakeverymuchmelatonin,thusdontsleepwell,mightbenefitfromamelatonin

    supplement,Imskepticaloftherecentmelatonincrazeinthiscountry.WhensomanypeopleapparentlyaresufferingfromSAD,Iquestionthewisdomofpurposlyingestingmoremelatonin,especiallysincethepinealglandis

    oneoftheleast-studied,least-understoodoftheendocrineglands.

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    7.TheThymusGland

    7.Thisglandislocatedbehindthebreastbone.Itproducesthehormonethymosin.Thishormonecauseswhitebloodcells(lymphocytes)

    tobecomematureandactive.Thesebloodcells,aspreviouslydiscussedintheBloodweb

    Local regulators are hormones with target cells nearby or adjacent to the endocrine gland in question. For example,

    neurotransmitters are secreted in the synapses of our nervous system and their target cells are in the same synapses.

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    ENDOCRINE DISORDERS

    Adrenal insufficiency. The adrenal gland releases too little of the hormone cortisol and sometimes, aldosterone. Symptoms include fatigue, stomach

    upset,dehydration, and skin changes.Addison's disease is a type of adrenal insufficiency.

    Cushing's disease. Overproduction of a pituitary gland hormone leads to an overactive adrenal gland. A similar condition called Cushing's syndrome

    may occur in people, particularly children, who take high doses of corticosteroid medications.

    Gigantism (acromegaly) and other growth hormone problems. If the pituitary gland produces too much growth hormone, a child's bones and body

    parts may grow abnormally fast. If growth hormone levels are too low, a child can stop growing in height.

    Hyperthyroidism. The thyroid gland produces too much thyroid hormone, leading to weight loss, fast heart rate, sweating, and nervousness. The most

    common cause for an overactive thyroid is an autoimmune disorder called Grave's disease.

    Hypothyroidism. The thyroid gland does not produce enough thyroid hormone, leading to fatigue, constipation, dry skin, and depression. The

    underactive gland can cause slowed development in children. Some types of hypothyroidism are present at birth.

    Hypopituitarism. The pituitary gland releases little or no hormones. It may be caused by a number of different diseases. Women with this condition may

    stop getting their periods.

    Multiple endocrine neoplasia I and II (MEN I and MEN II). These rare, genetic conditions are passed down through families. They cause tumors of the

    parathyroid, adrenal, and thyroid glands, leading to overproduction of hormones.Polycystic ovary syndrome (PCOS). Overproduction of androgens interfere with the development of eggs and their release from the female ovaries.

    PCOS is a leading cause of infertility.